| Crystal Dawn Lowder-tibbs, FNP | |
|
1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | |
| (276) 724-0967 | |
| Not Available |
| Full Name | Crystal Dawn Lowder-tibbs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1054 Boones Mill Rd, Boones Mill, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811509599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024179874 (Virginia) | Primary |
| 207Q00000X | Family Medicine | 0024179874 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wythe Circle Home Care | Wytheville, VA | Home health agency |
| Wythe County Community Hospital | Wytheville, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wythe County Physician Practices Llc | 7517972789 | 34 |
| Entity Name | Wythe County Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780630327 PECOS PAC ID: 7517972789 Enrollment ID: O20060209000451 |
| Entity Name | Brock Hughes Free Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558522938 PECOS PAC ID: 0042542144 Enrollment ID: O20191022002906 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Dawn Lowder-tibbs, FNP 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 Ph: (276) 724-0967 | Crystal Dawn Lowder-tibbs, FNP 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 Ph: (276) 724-0967 |
Mabel Mccorrison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22890 Virgil Goode Hwy, Boones Mill, VA 24065 Phone: 540-344-5511 Fax: 540-344-3174 |